Fernandez Sabrina
Pediatr Ann. 2017 Sep 1;46(9):e315-e318. doi: 10.3928/19382359-20170817-01.
It is universally known that secondhand smoke is detrimental to children's health. There is emerging research about the negative effects of thirdhand smoke as well. Most pediatricians focus on the child's medical evaluation and treatment, without considering other family members as it impacts the child's health. Screening rates for secondhand smoke exposure are low to begin with, and when we find a family member who is smoking, most pediatricians feel comfortable counseling and referring, but many do not know how to prescribe nicotine replacement therapy (NRT). In offering a prescription for NRT, pediatricians can offer tangible, timely treatment to help the family get one step closer to being smoke-free. Additionally, families may see their pediatrician more frequently than their own adult physician, and pediatricians have a unique perspective on how smoking may affect the child's health, and can use this as a motivator for quitting. This article encourages pediatricians to screen for secondhand smoke exposure and prescribe NRT to their patient's family members. [Pediatr Ann. 2017;46(9):e315-e318.].
众所周知，二手烟对儿童健康有害。关于三手烟的负面影响也有新的研究出现。大多数儿科医生专注于儿童的医学评估和治疗，没有考虑到其他家庭成员，因为这会影响儿童的健康。二手烟暴露的筛查率本来就很低，当我们发现有家庭成员吸烟时，大多数儿科医生对提供咨询和转诊感到得心应手，但许多人不知道如何开具尼古丁替代疗法（NRT）的处方。在开具NRT处方时，儿科医生可以提供切实、及时的治疗，帮助家庭向无烟状态迈进一步。此外，家庭看儿科医生的频率可能比看成人医生的频率更高，而且儿科医生对于吸烟如何影响儿童健康有独特的见解，并可以将此作为戒烟的动力。本文鼓励儿科医生对二手烟暴露进行筛查，并为患者的家庭成员开具NRT处方。[《儿科年鉴》。2017年；46(9):e315 - e318。]
